Diets - description

Diets according to ICD-10

Dietotherapy in Belarusian health resorts

Medical foods - science-based system of nutrition organization and differential use of therapeutic purposes certain food combinations, types of cooking, including in health resorts of Belarus. The principles of therapeutic nutrition include: full body supply of proteins, fats, carbohydrates, as well as essential nutrition factors (essential amino acids, polyunsaturated fatty acids, vitamins, minerals) in different ratios; compliance of the chemical structure of food functional state of the enzyme systems of the human body.

By the Decree of the Ministry of Health of the Republic of Belarus of 29 August, 2008 N 135 was introduced Instructions on the organization of diet nutrition in state health organizations, amended and supplemented By the Decree of the Ministry of Health of the Republic of Belarus of 25 March, 2011 ¹22. Entered into force alphabetic classification of diets: B, P, H, H1, Ò, Î, D. Health resort organizations in Belarus have switched to a new system of classification of diets. Sometimes you have to make changes to the basic diet. This can be caused by the following reasons: the presence of several diseases in patients; drug therapy, which has a side undesirable effect on the metabolism and the condition of organs and systems, or requiring appropriate nutrition for its effect; intolerance of individual products due to food allergies or insufficient enzymes in the intestine, necessary for digestion of food components; obesity as a comorbidity.
Different diets can be prescribed with the same disease, taking into account the nature of the course of the disease, concomitant diseases or complications.

Organization of medical nutrition of patients is carried out in accordance with the list of standard diets according to annex 1 to this Instruction. Description of each standard diet includes:

general description of chemical composition and product set;

purpose of assignment;

basic indications for use;

chemical composition and energy value;

basic cooking methods;

power mode.

Before using this or that diet, it's necessary to receive recommendations of the attending physician and consultation of the dietician or the dietitian's nurse.

Medical diet food in health-resort organizations supplemented by the introduction of elements of the "buffet": fresh fruits and vegetables, pastries, soups and salads.

ulcers disease stomach and duodenal ulcer in the period of recovery after a sharp deterioration and mild aggravation; unsharp exacerbation of chronic gastritis with preserved or increased secretion; acute gastritis in the recovery period.

¹1 à

acute exacerbation of gastric ulcer and duodenal ulcer in the first 6-8 days of treatment; acute exacerbation of chronic gastritis in the first days of treatment; acute gastritis on the 2nd - 4th day of treatment.

chronic gastritis with secretory insufficiency with mild exacerbation, and in the stage of recovery after the exacerbation; acute gastritis, enteritis, colitis during the recovery period as a transition to rational nutrition, chronic enteritis and colitis after and without exacerbation without concomitant diseases of the liver, biliary tract, pancreas, or gastritis with preserved or increased secretion.

¹3

chronic intestinal diseases with constipation with non-sharpened or damped exacerbation and without exacerbation.

acute intestinal diseases during the period of improvement; chronic intestinal diseases after a sharp exacerbation or with a sharp exacerbation, as well as in combination with the defeat of other digestive organs.

¹4 v

acute intestinal diseases in the recovery period as a transition to a rational diet; chronic intestinal diseases in the period of exacerbation damping, as well as outside exacerbation with concomitant lesions of other digestive organs.

acute hepatitis and cholecystitis in the stage of recovery; chronic hepatitis out of exacerbation; cirrhosis of the liver without its insufficiency; chronic cholecystitis and cholelithiasis out of exacerbation (in all cases - without expressed diseases of the stomach and intestines).

acute hepatitis and cholecystitis, exacerbation of chronic hepatitis, cholecystitis and cholelithiasis, cirrhosis of the liver in the compensation stage, as well as other diseases in accordance with the purpose of the diet.

tuberculosis of lungs, bones, lymph nodes, joints in case of non-sharp aggravation or its attenuation, with reduced body weight (exhaustion after infectious diseases, operations, injuries), in all cases in the absence of lesions of the digestive system.

¹12

functional diseases of the nervous system.

¹13

acute infectious disease. Purpose: the maintenance of the general forces of the body and increase its resistance to infection, reduce intoxication, sparing the organ of digestion in terms of fever and bed rest.

¹14

kidney stones with alkaline reaction of the urine with precipitation of phosphate-calcium salts (phosphaturia)

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